Top Skilled Nursing Trends for 2023

Economic uncertainty, staffing shortages, looming federal regulations, a new COVID variant and major changes to the Minimum Data Set (MDS) are just a few of the challenges facing the skilled nursing sector at the dawn of 2023. But a new year is also a time for optimism. Favorable Medicaid policies, the growth of strong regional […]

SavaSeniorCare Expects to Cease Operations by Early 2023

After divesting of its sizable portfolio over the course of several years, SavaSeniorCare will cease to exist as a company once its last five nursing homes transition to other operators, which the company expects to occur by the end of January 2023. The end of Atlanta-based Sava marks another sea change in the skilled nursing […]

Why Advanced Practice RNs Could Be MVPs in Skilled Nursing Cost Savings, Care Outcomes

As nursing home staff continue to see a higher concentration of high acuity patients, advanced practice registered nurses (APRNs) may be the key to improving care outcomes and reducing hospital readmissions. University of Missouri Sinclair School of Nursing Assistant Professor Alisha Johnson spent a year interviewing APRNs in Texas about their transition to the nursing […]

The Quotes That Defined Skilled Nursing in 2022 — and Hint at What’s Ahead

The top quotes of 2022 memorably captured some of the biggest skilled nursing issues of the year, from “shocking” payment policies to “colossal” regulatory issues to “transformative” changes. The quotes below not only serve as reminders about what transpired over the last 12 months, but touch on many issues that are still pressing as 2023 […]

How 3 Nursing Home Operators Strengthened Workforce Pipelines Amid Labor Crisis

Nursing home operators are changing their approach to staffing and recruitment to be more proactive and flexible, helping address severe staffing shortages being felt across the sector. The pandemic forced Dwyer Workforce Development (DWD) to be more creative about attracting a pipeline of talented folks who might not have been their typical candidates in the […]

REIT Moves Drive a Reordering of the Skilled Nursing Operator Landscape

Skilled nursing operators should anticipate further distress in the coming months and into 2023, which will likely result in even greater divides among providers. The winners and losers already are being sorted, as the latest round of real estate investment trust (REIT) earnings made clear. And unsurprisingly, strong regional operators are leading the pack. Welltower […]

Operators Urge CMS to Reconsider Winding Down Essential Waivers as SNF Recovery Varies

Nursing home operators were able to tell the Centers for Medicare & Medicaid Services (CMS) directly how much certain waivers helped their organizations during the pandemic, with the temporary nurse aide (TNA) and three-day stay waivers being the most beneficial. SNF industry leaders also made their case for extending waivers or making some permanent during […]

Why Immigration Falls Short as a Nursing Home Workforce Solution — And How to Fix It

Current immigration policies are creating unnecessary roadblocks that hinder the recovery and potential growth of the nursing home industry’s workforce by “leaps and bounds.” And the situation has only become increasingly more dire as the sector faces a labor shortage at levels not seen in the last three decades. The ability to bring over international […]

The Math Doesn’t Work: Nursing Home Staffing Woes Unsolvable Without Immigration Action

As nursing home operators scramble to recruit direct care workers during a historic staffing shortage, many in the sector believe there is one obvious solution that has yet to gain meaningful traction, in part due to legislative gridlock: immigration. Meanwhile, the Centers for Medicare & Medicaid Services (CMS) has honed in on minimum staffing ratios, […]

[UPDATED] CMS Updates Nursing Home Medicare Requirements of Participation Guidance, Furthers Biden Reform Agenda

The Centers for Medicare & Medicaid Services (CMS) on Wednesday issued updated guidance for nursing home surveyors under the requirements of participation for Medicare and Medicaid, and in support of nursing home reform initiatives first unveiled in February. As providers and industry associations digested the updates, one familiar theme emerged: concern over new requirements and […]

Operators Decry Civil Monetary Penalty Lockouts As Punitive, Arbitrary Barrier to Workforce Expansion

Operators seeking to grow their own staff with in-house licensing programs have been met with financial and compliance barriers in the form of civil monetary penalties, or CMPs. During a time when operators are limiting admissions as a result of the staffing crisis, industry leaders feel such restrictions are arbitrary and punitive. Federal legislation has […]

Skilled Nursing Providers Struggle to Meet Referral Demand Amid Staffing Crunch

After months of wondering if hospital referrals would ever rebound during the height of the pandemic, skilled nursing operators now face a new problem. Worsening staffing shortages have left many operators unable to meet current patient demand. That’s according to a new report from CarePort, a WellSky company. The report examines data from more than […]

Why Skilled Nursing Providers Must Embrace the DON of Tomorrow

The director of nursing (DON) role has picked up dozens of additional responsibilities during the pandemic, clinical leaders say, as the nursing home sector continues to work through a historic staffing shortage. The result can amount to, at times, an “extremely stressful” position, according to North Shore Healthcare Chief Clinical Officer Tina Belongia. DONs across […]

What Service Lines 5 Nursing Home Leaders Plan to Invest In For the Future

With data suggesting that more than 400 nursing homes could close in 2022 and pandemic-related federal funding coming to an end, SNFs are increasingly having to find ways to solidify their role in the post-acute care continuum moving forward. For nursing home leaders, this means identifying what types of investments will move the needle forward […]

Know Your Markets: ‘Next Generation’ of Operators are Data-Driven and Regional

Lenders and operators agree the skilled nursing market continues to largely be a regional affair when it comes to prospective transactions – buildings are often considered within the context of others in a 15- to 20-mile radius, with national statistics oftentimes secondary. State or regional specific operators understand what’s happening with labor in those markets, […]